Publications by authors named "T Dechery"
Article Synopsis
- Spontaneous coronary artery dissection is a rare condition that can cause heart problems, mainly affecting young women who are usually healthy.
- Doctors often use special imaging techniques to diagnose it, and treatment can vary depending on the doctor’s approach.
- Although many people recover well, there is a chance it could happen again, leading to serious health concerns, like in the case of a 43-year-old patient who had problems after previous dissection episodes.
Background: while the duration of dual antiplatelet therapy (DAPT) following coronary angioplasty for chronic coronary syndrome (CCS) recommended by the European Society of Cardiology has decreased over the last decade, little is known about the adherence to those guidelines in clinical practice in France.
Aim: To analyze the real duration of DAPT post coronary angioplasty in CCS, as well as the factors affecting this duration.
Methods: Between 2014 and 2019, 8.
Article Synopsis
- The study examines the relationship between first medical contact-to-balloon time and 1-year mortality in patients with ST-elevation myocardial infarction (STEMI), focusing on the effects of direct vs. indirect transfer to cardiac catheterization laboratories (CCLs).
- Out of 2,206 STEMI patients, those indirectly admitted to CCL had a higher mortality rate (14.6%) compared to direct admissions (7.7%), highlighting that indirect admissions correlate with worse outcomes despite similar FMC-to-balloon times.
- Key factors influencing indirect admission included older age and the type of initial medical contact (like paramedic response), indicating a need for better population education and care coordination, especially for elderly
[stent thrombosis : A won battle ? (data from the France PCI registry)].
Ann Cardiol Angeiol (Paris)
December 2021
Goal: The aim of the study is to assess the incidence, risk factors and prognosis of definite stent thrombosis (ST) at 1 year in the France PCI multicenter prospective registry.
Patients And Methods: Only patients who underwent coronary angioplasty with at least one stent implantation between 1 January 2014 and 31 December 2019 were included. The population was separated into 2 groups: the "ST" group with stent thrombosis and the "control" group without stent thrombosis.
Background: Literature suggests that radial access is associated with higher radiation doses than femoral access.
Aims: To compare patient radiation exposure during coronary angiography (CA) and percutaneous coronary intervention (PCI) with radial versus femoral access.
Methods: RAY'ACT is a nationwide, multicentre, French survey evaluating patient radiation in interventional cardiology.